NUR 2790 PN3- Exam 2-Test questions from chapters 8, 10, 26, 32, 34
1. An emergency department (ED) charge nurse prepares to receive clients from a mass casualty within
the community. What is the role of this nurse during the event?
Direct medical-surgical and critical care nurses to assist with clients currently in the ED while emergency
staff prepare to receive the mass casualty victims.
2. The hospital administration arranges for critical incident stress debriefing for the staff after a mass
casualty incident. Which statement by the debriefing team leader is most appropriate for this situation?
You are free to express your feelings; whatever is said here stays here.
3. A nurse triages clients arriving at the hospital after a mass casualty. Which clients are correctly
classified? (SATA.)
A 35-year-old female with severe chest pain: red tag
A 60-year-old male with an open fracture with distal pulses: yellow tag
4. A hospital prepares for a mass casualty event. Which functions are correctly paired with the personnel
role? (Select allthat apply.)
Hospital incident commander Assumes overall leadership for implementing the emergency plan
Triage officer Rapidly evaluates each client to determine priorities for treatment
5. The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN).
Which instruction should the nurse provide to the LPN when assigning this client?
Wash your hands upon entering the patient’s room.
6. The nurse is caring for a client with an acute burn injury. Which action should the nurse take to
prevent infection by auto-contamination?
Change gloves between wound care on different parts of client’s body.
7. A nurse cares for a client who has facial burns. The client asks, Will I ever look the same? How should
the nurse respond?
You won’t look exactly the same but cosmetic surgery will help.
8. The nurse assesses a client who has a severe burn injury. Which statement indicates the client
understands the psychosocial impact of a severe burn injury?
It’s normal to feel some depression
9. A nurse prepares to administer intravenous cimetidine (Tagamet) to a client who has a new burn
injury. The client asks, “Why am I taking this medication?” How should the nurse respond?
It helps prevent stomach ulcers, which are common after burns
, 10. A nurse receives new prescriptions for a client with severe burn injuries who is receiving fluid
resuscitation per the Parkland formula. The clients urine output continues to range from 0.2 to 0.25
mL/kg/hr. Which prescription should the nurse question?
Administer Furosemide (Lasix) 40mg IV push
11. A nurse reviews the laboratory results for a client who was burned 24 hours ago. Which laboratory
result should the nurse report to the health care provider immediately?
Serum potassium 6.5
12. A nurse cares for a client who has burn injuries. The client’s wife asks, when will his high risk for
infection decrease? How should the nurse respond?
When all of his burns have closed
13. A nurse cares for a client with burn injuries. Which intervention should the nurse implement to
appropriately reduce the clients pain?
Administer the prescribed IV morphine sulfate
14. A nurse assesses bilateral wheezes in a client with burn injuries inside the mouth. Four hours later
the wheezing is no longer heard. Which action should the nurse take?
Gather appropriate equipment and prepare for an emergency airway
15. A nurse uses the rule of nines to assess a client with burn injuries to the entire back region and left
arm. How should the nurse document the percentage of the clients body that sustained burns? 27%
16. A nurse assesses a client admitted with deep partial-thickness and full-thickness burns on the face,
arms, and chest. Which assessment finding should alert the nurse to a potential complication?
Urine output of 20mL/hr
17. A nurse reviews the following data in the chart of a client with burn injuries: Admission Note: 36-
year-old female with bilateral leg burns NKDA-Health history of asthma and seasonal allergies. Wound
Assessment: Bilateral leg burns present with a white and leather-like appearance. No blisters or bleeding
present. Client rates pain 2/10 on a scale of 0- 10. Based on the data provided, how should the nurse
categorize this clients injuries? Full Thick-ness
18. A nurse cares for a client with burn injuries during the resuscitation phase. Which actions are
priorities during this phase?
(SATA) Administer analgesics, prevent wound infection, provide fluid replacement
19. A nurse cares for a client with burn injuries who is experiencing anxiety and pain. Which non-
pharmacologic comfort measures should the nurse implement?
(SATA) music as a distraction tactile stimulation increasing client control
1. An emergency department (ED) charge nurse prepares to receive clients from a mass casualty within
the community. What is the role of this nurse during the event?
Direct medical-surgical and critical care nurses to assist with clients currently in the ED while emergency
staff prepare to receive the mass casualty victims.
2. The hospital administration arranges for critical incident stress debriefing for the staff after a mass
casualty incident. Which statement by the debriefing team leader is most appropriate for this situation?
You are free to express your feelings; whatever is said here stays here.
3. A nurse triages clients arriving at the hospital after a mass casualty. Which clients are correctly
classified? (SATA.)
A 35-year-old female with severe chest pain: red tag
A 60-year-old male with an open fracture with distal pulses: yellow tag
4. A hospital prepares for a mass casualty event. Which functions are correctly paired with the personnel
role? (Select allthat apply.)
Hospital incident commander Assumes overall leadership for implementing the emergency plan
Triage officer Rapidly evaluates each client to determine priorities for treatment
5. The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN).
Which instruction should the nurse provide to the LPN when assigning this client?
Wash your hands upon entering the patient’s room.
6. The nurse is caring for a client with an acute burn injury. Which action should the nurse take to
prevent infection by auto-contamination?
Change gloves between wound care on different parts of client’s body.
7. A nurse cares for a client who has facial burns. The client asks, Will I ever look the same? How should
the nurse respond?
You won’t look exactly the same but cosmetic surgery will help.
8. The nurse assesses a client who has a severe burn injury. Which statement indicates the client
understands the psychosocial impact of a severe burn injury?
It’s normal to feel some depression
9. A nurse prepares to administer intravenous cimetidine (Tagamet) to a client who has a new burn
injury. The client asks, “Why am I taking this medication?” How should the nurse respond?
It helps prevent stomach ulcers, which are common after burns
, 10. A nurse receives new prescriptions for a client with severe burn injuries who is receiving fluid
resuscitation per the Parkland formula. The clients urine output continues to range from 0.2 to 0.25
mL/kg/hr. Which prescription should the nurse question?
Administer Furosemide (Lasix) 40mg IV push
11. A nurse reviews the laboratory results for a client who was burned 24 hours ago. Which laboratory
result should the nurse report to the health care provider immediately?
Serum potassium 6.5
12. A nurse cares for a client who has burn injuries. The client’s wife asks, when will his high risk for
infection decrease? How should the nurse respond?
When all of his burns have closed
13. A nurse cares for a client with burn injuries. Which intervention should the nurse implement to
appropriately reduce the clients pain?
Administer the prescribed IV morphine sulfate
14. A nurse assesses bilateral wheezes in a client with burn injuries inside the mouth. Four hours later
the wheezing is no longer heard. Which action should the nurse take?
Gather appropriate equipment and prepare for an emergency airway
15. A nurse uses the rule of nines to assess a client with burn injuries to the entire back region and left
arm. How should the nurse document the percentage of the clients body that sustained burns? 27%
16. A nurse assesses a client admitted with deep partial-thickness and full-thickness burns on the face,
arms, and chest. Which assessment finding should alert the nurse to a potential complication?
Urine output of 20mL/hr
17. A nurse reviews the following data in the chart of a client with burn injuries: Admission Note: 36-
year-old female with bilateral leg burns NKDA-Health history of asthma and seasonal allergies. Wound
Assessment: Bilateral leg burns present with a white and leather-like appearance. No blisters or bleeding
present. Client rates pain 2/10 on a scale of 0- 10. Based on the data provided, how should the nurse
categorize this clients injuries? Full Thick-ness
18. A nurse cares for a client with burn injuries during the resuscitation phase. Which actions are
priorities during this phase?
(SATA) Administer analgesics, prevent wound infection, provide fluid replacement
19. A nurse cares for a client with burn injuries who is experiencing anxiety and pain. Which non-
pharmacologic comfort measures should the nurse implement?
(SATA) music as a distraction tactile stimulation increasing client control
